Active NPI
Roberts Group Counseling
- Mental Health Counselor
- Edmond, OK
National Provider Identifier
1104164185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2993
- Legal business name
- ROBERTS GROUP COUNSELING
- Practice address
- 16725 Little Leaf LN
Edmond, OK 73012-0675 - Phone
- (405) 474-5359
- Fax
- (405) 285-5728
- NPI assigned
- Jan 24, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie R Roberts, M.ED., LPC
- Title
- Ceo
- Phone
- (405) 474-5359
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2993 | OK | Primary |
Addresses
Primary practice location
16725 Little Leaf LN
Edmond, OK 73012-0675
Mailing address
16725 Little Leaf LN
Edmond, OK 73012-0675
Phone (405) 474-5359
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200289250A | Medicaid | OK |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Edmond, OK
- NPI 1659507424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358985600000",
"number": "1104164185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16725 LITTLE LEAF LN",
"city": "EDMOND",
"state": "OK",
"postal_code": "730120675",
"telephone_number": "405-474-5359",
"fax_number": "405-285-5728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16725 LITTLE LEAF LN",
"city": "EDMOND",
"state": "OK",
"postal_code": "730120675",
"telephone_number": "405-474-5359",
"fax_number": "405-285-5728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERTS GROUP COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-24",
"last_updated": "2013-01-24",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "405-474-5359",
"authorized_official_credential": "M.ED., LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "2993",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200289250A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.